Sherrie R Long, NP | |
1030 River Oaks Dr, Jackson, MS 39232-9553 | |
(800) 893-9698 | |
Not Available |
Full Name | Sherrie R Long |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 1030 River Oaks Dr, Jackson, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568533248 | NPI | - | NPPES |
00124253 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | R804367 (Mississippi) | Secondary |
363L00000X | Nurse Practitioner | 804367 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sharkey Issaquena Community Hospital | Rolling fork, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greenwood Leflore Hospital | 1153399472 | 19 |
Entity Name | Sharkey Issaquena Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013004795 PECOS PAC ID: 1759283039 Enrollment ID: O20040126000869 |
Entity Name | South Sunflower County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184679292 PECOS PAC ID: 6709771637 Enrollment ID: O20040218000979 |
Entity Name | Greenwood Leflore Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699714717 PECOS PAC ID: 1153399472 Enrollment ID: O20040923000500 |
Entity Name | Sharkey Issaquena Community Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1013004795 PECOS PAC ID: 1759283039 Enrollment ID: O20190508001863 |
Entity Name | Coffee County Physician Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437164878 PECOS PAC ID: 4082671235 Enrollment ID: O20190612002779 |
Entity Name | Yazoo Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447806914 PECOS PAC ID: 0749511574 Enrollment ID: O20191009002380 |
Mailing Address | Practice Location Address |
---|---|
Sherrie R Long, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: () - | Sherrie R Long, NP 1030 River Oaks Dr, Jackson, MS 39232-9553 Ph: (800) 893-9698 |